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NPI 1972524296

NPI 1972524296 : ARTHUR JAY FEIGENBAUM DMD : FOREST HILLS, NY

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General NPI Number Information
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    NPI Number           |    1972524296
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    Entity Type          |    Individual 
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    Provider Name        |    ARTHUR JAY FEIGENBAUM DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/21/2006
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    Last Update Date     |    09/17/2013
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Provider Practice Location Address
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    Address Line         |    70-31A 108TH STREET SUITE 2
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    City                 |    FOREST HILLS
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    State                |    NY
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    Zip                  |    11375-4450
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    Country              |    US
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    Telephone            |    718-268-4742
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    Fax                  |    718-268-4756
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Provider Business Mailing Address
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    Address Line         |    70-31A 108TH STREET SUITE 2
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    City                 |    FOREST HILLS
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    State                |    NY
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    Zip                  |    11375-4450
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    Country              |    US
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    Telephone            |    718-268-4742
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    Fax                  |    718-268-4756
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    033642
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    License Number State |    NY
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